Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

NCT ID: NCT01514071

Last Updated: 2013-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

746 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2013-07-31

Brief Summary

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It is difficult for Pediatric Emergency Department providers to recognize clinically significant head injuries that are likely to require neurosurgical intervention or close monitoring from those that can be safely discharged.

Research Question How do a combination of education and an animated picture depicting the PECARN CT Head Injury rules impact compliance to these rules and reduce unnecessary head CT scans?

Design This is a within subject, repeated measures study design.

Detailed Description

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Conditions

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Minor Head Injury

Keywords

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head injury CT emergency radiation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Pop-up picture

Group Type EXPERIMENTAL

Pop-up picture

Intervention Type BEHAVIORAL

An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.

Interventions

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Pop-up picture

An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients presenting to Children's ED will be included if they:
* Are between 0 and 18 years of age (inclusive)
* Receive a discharge diagnosis of head injury
* Present to the ED within 24 hours of the head injury
* GCS of 14 or greater

Exclusion Criteria

* Patients will be excluded if they :
* Had a CT scans done in an outside transferring institution
* Have obvious penetrating head injuries
* Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects
* Have no signs or symptoms of head trauma other than scalp abrasions and lacerations.
* Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Hospitals and Clinics of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Children's Hospitals and Clinics of Minnesota

Minneapolis, Minnesota, United States

Site Status

Children's Hospitals and Clinics of Minnesota

Twin Cities, Minnesota, United States

Site Status

Countries

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United States

References

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Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14.

Reference Type BACKGROUND
PMID: 19758692 (View on PubMed)

Other Identifiers

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1103-040

Identifier Type: -

Identifier Source: org_study_id